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Biomedical subjects

A Babovic

Publications and source records attributed to A Babovic.

3 recordsLinked to original sources
PubMed2001

[Acute osteomyelitis in young children--a diagnostic challenge].

BACKGROUND: Acute osteomyelitis in young children poses a diagnostic challenge. Signs and symptoms are often not well defined and blood tests (SR, CRP etc.) are often of limited value. Standard roentgenograms do not preclude the diagnosis. MATERIALS AND METHODS: We present eight cases of acute osteomyelitis in children under the age of two, seen at the Child Centre, at Ullevaal University Hospital during the last year. RESULTS: Scintigraphic interpretation failed to reveal the diagnosis in two cases. Magnetic resonance imaging (MRI) was shown to be a more reliable method. Only a few biopsies were done. INTERPRETATION: Examination of children suspected of suffering from an osteomyelitis should include both a bone scintigraphy, MRI, and to the extent possible a needle biopsy.

Acute Disease↗
PubMed1999

MR urography: the future gold standard in paediatric urogenital imaging?

BACKGROUND: Examination of the paediatric urogenital tract is traditionally performed using methods that utilise ionising radiation, such as intravenous urography (IVU), computerised tomography (CT), voiding cystourethrography (VCU), and scintigraphy, in addition to ultrasound (US). OBJECTIVE: To determine the potential and effectiveness of MR urography (MRU) in infants and children. Materials and methods. 44 MRU examinations were prospectively performed in 39 patients (21 infants, mean age 3.5 months, and 18 children, mean age 6 years 2 months) with known or suspected pathology of the urinary tract. Non-enhanced, fast spin-echo sequences (TSE) were performed in all patients. In 70 % of the patients a contrast-enhanced, fast gradient-echo sequence (TFE) was included. The dynamic sequence was prolonged and supplemented with furosemide provocation in some patients with suspected urinary-tract obstruction. RESULTS: Nine percent of examinations were non-diagnostic or interrupted due to movement. MRU contributed additional information in 66 %. Nine patients with suspected urinary-tract obstruction were examined with both contrast-enhanced MRU and scintigraphy. Three MRU examinations were less informative and one equal to scintigraphy when obstruction was the diagnosis. When using a technique with a prolonged dynamic sequence, including frusemide provocation, four MRU examinations were equal and one was superior to scintigraphy. CONCLUSIONS: MRU has the potential to replace traditional diagnostic methods which use ionising radiation in paediatric patients. Further studies are needed before definite conclusions can be drawn.

Adolescent↗